Gift information

Donation Amount*
  • £10
  • £20
  • £50
  • £100
  • £250
  • Other £
CHSF Campaign Choice*
  • General

Contact Information

Date of Birth 00/00/0000
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Communication Preferences

We would like to keep you informed about our projects and fundraising activities and ask you to opt-in to our communications options, noted within this section. Your data is kept secure and confidential, and is not shared with any others. If you change your mind and wish to alter your preferences or unsubscribe fully from our messages, you can do so at any time by emailing us at Alternatively you can complete the online contact form on our Contact Us page at


Information about how we manage your data can be found in our Privacy Policy at 




Payment Information

Please reclaim Gift Aid on this donation and any donations I make in the future or have made in the last four years so that each £1 is worth an extra 25p to Children’s Heart Surgery Fund. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.
Name on Card*
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